Evidence map›Paper›PMID 41088940›Full record

Observational studyCurrent neuropharmacology2026

Lurasidone vs. Other Antipsychotics as Augmentation Strategies for Clozapine in Treatment-resistant Schizophrenia: An Observational Multicenter Prospective Study.

Tiziano Prodi, Beatrice Benatti, Alessandro Grecchi, Margherita Oresti, Filippo Mazzoni, Giovanni Carnevale Miacca, Natascia Brondino, Bernardo Dell'Osso, Miriam Olivola

Abstract readMulticenter StudyObservational StudyComparative Study
In one paragraph

Observational study in Current neuropharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tiziano ProdiDepartment of Mental Health, Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy.ORCID 0009-0001-8528-0480
Beatrice BenattiDepartment of Mental Health, Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy.
Alessandro GrecchiASST Santi Paolo e Carlo Borromeo, Division of Psychiatry, Milan, Italy.
Margherita OrestiDipartimento di Salute Mentale e Delle Dipendenze, Ospedale San Paolo - Polo Universitario, ASST Santi Paolo e Carlo, Milan, Italy.
Filippo MazzoniDepartment of Brain and Behavioural Sciences, University of Pavia, Pavia, 27100, Italy.
Giovanni Carnevale MiaccaDepartment of Brain and Behavioural Sciences, University of Pavia, Pavia, 27100, Italy.
Natascia BrondinoDepartment of Brain and Behavioural Sciences, University of Pavia, Pavia, 27100, Italy.
Bernardo Dell'OssoDepartment of Mental Health, Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy.ORCID 0000-0001-9370-5365
Miriam OlivolaDepartment of Brain and Behavioural Sciences, University of Pavia, Pavia, 27100, Italy.ORCID 0000-0003-0914-0539

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClozapine, after its introduction, reshaped the landscape of Treatment- Resistant Schizophrenia (TRS) treatment, becoming the first-line treatment for that condition. However, many patients fail to respond to this drug alone. Clozapine-resistant schizophrenia (CRS) is associated with a more severe clinical presentation than TRS, manifesting in exacerbated symptoms and significantly diminished quality of life. The complex nature of CRS has prompted the development of augmentation strategies, which most commonly include another antipsychotic. The present multicenter observational study aimed to assess and compare the efficacy of Lurasidone augmentation alongside clozapine versus other second-generation antipsychotic combinations in patients with a schizophrenia spectrum disorder.

methodsA total of 45 patients with a diagnosis of a schizophrenia spectrum disorder and labeled as "treatment resistant" were included. Functional and psychometric assessments were made at the baseline, one month, and six months after the treatment. A linear mixed-effect regression was performed along with other appropriate statistical analyses.

resultsA significant improvement over time was observed in the two groups for both the clinical and functional outcomes assessed, demonstrating the efficacy of a proper augmentation strategy in CRS management. Moreover, significantly lower psychiatric ward admissions were observed in the lurasidone group (p<.05). DISCUSSION: Our findings suggest that lurasidone augmentation in CRS offers significant improvements in psychopathological domains similar to alternative augmentation strategies.

conclusionAlthough further studies are needed to confirm our findings, lurasidone's favorable side-effect profile should be considered.

Indexed as

Antipsychotic AgentsClozapineLurasidone HydrochlorideSchizophreniaSchizophrenia, Treatment-ResistantAdultDrug Therapy, CombinationFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeAntipsychotic AgentsClozapineLurasidone Hydrochlorideantipsychotic agentsclozapineLurasidoneSchizophreniaschizophrenia spectrum disordertreatment-resistant Schizophrenia

Identifiers

PMID41088940
PMCPMC13523330

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.